Individual
MS. PAMELA R BANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
35 CEDAR ST, HYANNIS, MA 02601
(508) 778-6363
(508) 778-6677
Mailing address
35 CEDAR ST, HYANNIS, MA 02601
(508) 778-6363
(508) 778-6677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN177724NP
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP 4991
BC
—
Enumeration date
07/24/2006
Last updated
07/08/2007
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